Sacroilliac Joint Fusion – For Pain Of The Sacroiliac Joints

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Sacroiliac Joint Fusion is a surgical procedure aimed at providing relief from the pain and discomfort associated with conditions affecting the sacroiliac joints, which are located where the spine connects with the pelvis. Conditions that might necessitate this procedure include degenerative sacroiliitis, sacroiliac joint disruption, or persistent pain following lumbar spinal surgery.

The procedure involves the permanent fusion of the sacroiliac joint, effectively eliminating movement in the joint to alleviate pain. This is achieved by creating a bone bridge between the sacrum (the triangular bone at the base of the spine) and the ilium (the large broad bone forming the upper part of each half of the pelvis). 

The Sacroiliac Joint Fusion procedure begins with a small incision on the side of the buttock. Through this incision, the surgeon inserts specially designed instruments to prepare the joint for fusion by decorticating the articular cartilage and creating bleeding bone surfaces. Bone graft material, often supplemented with a bone growth protein, is then packed into the joint. 

In some cases, small, specially designed implants may be placed across the joint for additional stability. These implants may also provide a scaffold for new bone growth. Over time, this encourages the sacrum and ilium to fuse together into one immobile unit, reducing or eliminating the previous pain caused by joint movement.

The procedure is typically performed under general anesthesia, and recovery time varies depending on the individual patient and the specifics of their procedure. Pain relief may not be immediate as it takes time for the joint to fuse fully and for inflammation to subside. Physical therapy is often recommended post-surgery to strengthen the muscles surrounding the joint and to assist in recovery.

As with any surgical procedure, Sacroiliac Joint Fusion carries potential risks and complications, including infection, nerve damage, and failure of the joint to fuse properly. However, for many patients experiencing significant sacroiliac joint pain, this procedure can provide significant relief and improved quality of life.